Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.67 / $460.67 / $460.67	Facility		$460.67	$460.67	$460.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.46 / $460.67 / $764.88	Professional		$343.46	$460.67	$764.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $913.18 / $1,004.50 / $1,661.99	Facility		$913.18	$1,004.50	$1,661.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $821.86 / $849.26 / $1,123.21	Professional		$821.86	$849.26	$1,123.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $656.93 / $1,954.21 / $1,954.21	Facility		$656.93	$1,954.21	$1,954.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.92 / $1,888.35 / $3,811.01	Facility		$649.92	$1,888.35	$3,811.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.45 / $1,323.28 / $1,728.28	Professional		$474.45	$1,323.28	$1,728.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $260.47 / $691.01 / $1,050.16	Facility		$260.47	$691.01	$1,050.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $522.86 / $865.03 / $1,095.82	Professional		$522.86	$865.03	$1,095.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $450.88 / $913.18 / $4,278.92	Facility		$450.88	$913.18	$4,278.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $411.34 / $607.42 / $994.34	Professional		$411.34	$607.42	$994.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $545.62	Professional		$50.00	$70.00	$545.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $260.47 / $691.01 / $1,050.16	Facility		$260.47	$691.01	$1,050.16
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $522.86 / $865.03 / $1,095.82	Professional		$522.86	$865.03	$1,095.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $913.18 / $1,405.35 / $2,420.92	Professional		$913.18	$1,405.35	$2,420.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $649.92 / $1,783.56 / $4,278.92	Facility		$649.92	$1,783.56	$4,278.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $474.45 / $649.92 / $5,369.93	Professional		$474.45	$649.92	$5,369.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $913.18 / $913.18 / $913.18	Professional		$913.18	$913.18	$913.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $913.18 / $913.18 / $913.18	Professional		$913.18	$913.18	$913.18
United Facility/Professional Professional Modifier Low / Median / High Price $315.91 / $537.95 / $809.64	Professional		$315.91	$537.95	$809.64